MVCDC Enrollment Information For Pre-School (Ages 3 –5) and/or Early Head Start (Ages 0 – 3) Please complete the information below and click the SUBMIT button.
Parent/Guardian Name:
Child's First Name:
Child's Last Name:
Street Address:
City:
State:	Zip:
Child's Date of Birth:
Phone:
E-Mail:
Type of Preschool or Early Head Start Service Needed:
Full-Day, Full-Year
Full-Day, Part-Year
Part-Day, Part-Year
Home Base
Early Head Start